Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

ST JOSEPH'S BEHAVIORAL HEALTH CENTER

Stockton, CA · CCN 054123 · Rates published

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You selected 27447 (CPT)

TOTAL KNEE ARTHROPLASTY

This hospital’s price: $17,184 across 2 payers

Source: https://www.commonspirit.org/content/dam/commonspiritorg/en/dhcva/cacv/finance/price-transparency/465322209-1053443473_port-city-operating-company-llc_standardcharges.json · observed 2026-02-28

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

5,042 distinct procedures filed
11 distinct payers
195,334 rate rows
2026-02-28 last MRF observed
Data quality

194,940 of 195,334 rate rows are consumer-grade (99.8%)

394 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 240
per-diem day rate — not a per-procedure price 114
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 36
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.dignityhealth.org/content/dam/dignity-health/documents/mrf-json/southern-california/json/465322209_st-josephs-behavioral-health-center_standardcharges.json?target=%22_blank%22
Found on page https://www.dignityhealth.org/central-california/locations/stjosephsbehavioral/patients-and-visitors/patients/billing-information/hospital-pricing-transparency
Discovered viaDiscovered by HANK
Last fetch success · 2026-08-14
Content fingerprint b6e46a40497ba4f8… · 21,987,024 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
38240
CPT 		Transplt Allo Hct/donor 9 $78,985.76 $78,985.76 $78,985.76 nat. median
$13,835
outlier · 5.7×
33249
CPT 		Insj/rplcmt Defib W/lead(s) 9 $42,818.88 $42,818.88 $42,818.88 nat. median
$31,420
1.4× median
33264
CPT 		Rmvl Rplcmt Dfb Gen Mlt Ld 9 $42,818.88 $42,818.88 $42,818.88 nat. median
$31,464
1.4× median
33231
CPT 		Insrt Pulse Gen W/mult Leads 9 $42,818.88 $42,818.88 $42,818.88 nat. median
$29,955
1.4× median
33270
CPT 		Ins/rep Subq Defibrillator 9 $42,818.88 $42,818.88 $42,818.88 nat. median
$31,963
1.3× median
69930
CPT 		Implant Cochlear Device 9 $42,479.98 $42,479.98 $42,479.98 nat. median
$29,361
1.4× median
61886
CPT 		Implant Neurostim Arrays 9 $40,698.09 $40,698.09 $40,698.09 nat. median
$27,176
1.5× median
63685
CPT 		Insrt/redo Spine N Generator 9 $40,698.09 $40,698.09 $40,698.09 nat. median
$21,025
1.9× median
64568
CPT 		Inc For Vagus N Elect Impl 9 $40,698.09 $40,698.09 $40,698.09 nat. median
$27,651
1.5× median
33289
CPT 		Tcat Impl Wrls P-art Prs Snr 9 $37,966.60 $37,966.60 $37,966.60 nat. median
$27,692
1.4× median
33262
CPT 		Rmvl Replc Pulse Gen 1 Lead 9 $29,977.34 $29,977.34 $29,977.34 nat. median
$23,104
1.3× median
33240
CPT 		Insrt Pulse Gen W/singl Lead 9 $29,977.34 $29,977.34 $29,977.34 nat. median
$21,987
1.4× median
33230
CPT 		Insrt Pulse Gen W/dual Leads 9 $29,977.34 $29,977.34 $29,977.34 nat. median
$22,374
1.3× median
33263
CPT 		Rmvl Rplcmt Dfb Gen 2 Lead 9 $29,977.34 $29,977.34 $29,977.34 nat. median
$23,228
1.3× median
64590
CPT 		Insrt/redo Pn/gastr Stimul 9 $28,639.41 $28,639.41 $28,639.41 nat. median
$17,900
1.6× median
64580
CPT 		Implant Neuroelectrodes 9 $28,639.41 $28,639.41 $28,639.41 nat. median
$17,983
1.6× median
63655
CPT 		Implant Neuroelectrodes 9 $28,639.41 $28,639.41 $28,639.41 nat. median
$18,229
1.6× median
61885
CPT 		Insrt/redo Neurostim 1 Array 9 $28,639.41 $28,639.41 $28,639.41 nat. median
$19,880
1.4× median
54410
CPT 		Remove/replace Penis Prosth 9 $26,882.09 $26,882.09 $26,882.09 nat. median
$17,815
1.5× median
53445
CPT 		Insert Uro/ves Nck Sphincter 9 $26,882.09 $26,882.09 $26,882.09 nat. median
$16,059
1.7× median
54411
CPT 		Remov/replc Penis Pros Comp 9 $26,882.09 $26,882.09 $26,882.09 nat. median
$17,625
1.5× median
53444
CPT 		Insert Tandem Cuff 9 $26,882.09 $26,882.09 $26,882.09 nat. median
$13,619
2.0× median
54405
CPT 		Insert Multi-comp Penis Pros 9 $26,882.09 $26,882.09 $26,882.09 nat. median
$18,432
1.5× median
53447
CPT 		Remove/replace Ur Sphincter 9 $26,882.09 $26,882.09 $26,882.09 nat. median
$15,111
1.8× median
54416
CPT 		Remv/repl Penis Contain Pros 9 $26,882.09 $26,882.09 $26,882.09 nat. median
$18,107
1.5× median
54401
CPT 		Insert Self-contd Prosthesis 9 $26,882.09 $26,882.09 $26,882.09 nat. median
$18,598
1.4× median
33274
CPT 		Tcat Insj/rpl Perm Ldls Pm 9 $25,469.92 $25,469.92 $25,469.92 nat. median
$19,468
1.3× median
33221
CPT 		Insert Pulse Gen Mult Leads 9 $25,469.92 $25,469.92 $25,469.92 nat. median
$17,857
1.4× median
33229
CPT 		Remvreplc Pm Gen Mult Leads 9 $25,469.92 $25,469.92 $25,469.92 nat. median
$18,565
1.4× median
22867
CPT 		Insj Stablj Dev W/dcmprn 9 $24,560.28 $24,560.28 $24,560.28 nat. median
$17,039
1.4× median
22856
CPT 		Cerv Artific Diskectomy 9 $24,560.28 $24,560.28 $24,560.28 nat. median
$16,588
1.5× median
22612
CPT 		Lumbar Spine Fusion 9 $24,560.28 $24,560.28 $24,560.28 nat. median
$15,238
1.6× median
22633
CPT 		Lumbar Spine Fusion Combined 9 $24,560.28 $24,560.28 $24,560.28 nat. median
$17,296
1.4× median
22630
CPT 		Lumbar Spine Fusion 9 $24,560.28 $24,560.28 $24,560.28 nat. median
$16,992
1.4× median
24371
CPT 		Revise Reconst Elbow Joint 9 $24,560.28 $24,560.28 $24,560.28 nat. median
$15,314
1.6× median
20696
CPT 		Comp Multiplane Ext Fixation 9 $24,560.28 $24,560.28 $24,560.28 nat. median
$11,596
outlier · 2.1×
24363
CPT 		Replace Elbow Joint 9 $24,560.28 $24,560.28 $24,560.28 nat. median
$16,069
1.5× median
24361
CPT 		Reconstruct Elbow Joint 9 $24,560.28 $24,560.28 $24,560.28 nat. median
$14,000
1.8× median
23616
CPT 		Treat Humerus Fracture 9 $24,560.28 $24,560.28 $24,560.28 nat. median
$12,868
1.9× median
21243
CPT 		Reconstruction Of Jaw Joint 9 $24,560.28 $24,560.28 $24,560.28 nat. median
$12,517
2.0× median
23472
CPT 		Reconstruct Shoulder Joint 9 $24,560.28 $24,560.28 $24,560.28 nat. median
$16,588
1.5× median
27702
CPT 		Reconstruct Ankle Joint 9 $24,560.28 $24,560.28 $24,560.28 nat. median
$15,487
1.6× median
25446
CPT 		Wrist Replacement 9 $24,560.28 $24,560.28 $24,560.28 nat. median
$15,582
1.6× median
25442
CPT 		Reconstruct Wrist Joint 9 $24,560.28 $24,560.28 $24,560.28 nat. median
$14,535
1.7× median
27279
CPT 		Arthrodesis Sacroiliac Joint 9 $24,560.28 $24,560.28 $24,560.28 nat. median
$17,233
1.4× median
28705
CPT 		Fusion Of Foot Bones 9 $24,560.28 $24,560.28 $24,560.28 nat. median
$12,699
1.9× median
37231
CPT 		Tib/per Revasc Stent Ather 9 $23,981.56 $23,981.56 $23,981.56 nat. median
$18,256
1.3× median
37242
CPT 		Vasc Embolize/occlude Artery 9 $23,981.56 $23,981.56 $23,981.56 nat. median
$16,811
1.4× median
37184
CPT 		Prim Art M-thrmbc 1st Vsl 9 $23,981.56 $23,981.56 $23,981.56 nat. median
$10,750
outlier · 2.2×
37225
CPT 		Fem/popl Revas W/ather 9 $23,981.56 $23,981.56 $23,981.56 nat. median
$16,382
1.5× median

Other procedures at this hospital

Browse this hospital's 5,042 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
38240 CPT Transplt Allo Hct/donor 28 9 — — $78,985.76 $78,985.76 $78,985.76 2026-02-28
33270 CPT Ins/rep Subq Defibrillator 28 9 — — $42,818.88 $42,818.88 $42,818.88 2026-02-28
33264 CPT Rmvl Rplcmt Dfb Gen Mlt Ld 28 9 — — $42,818.88 $42,818.88 $42,818.88 2026-02-28
33231 CPT Insrt Pulse Gen W/mult Leads 28 9 — — $42,818.88 $42,818.88 $42,818.88 2026-02-28
33249 CPT Insj/rplcmt Defib W/lead(s) 28 9 — — $42,818.88 $42,818.88 $42,818.88 2026-02-28
69930 CPT Implant Cochlear Device 28 9 — — $42,479.98 $42,479.98 $42,479.98 2026-02-28
64568 CPT Inc For Vagus N Elect Impl 28 9 — — $40,698.09 $40,698.09 $40,698.09 2026-02-28
63685 CPT Insrt/redo Spine N Generator 28 9 — — $40,698.09 $40,698.09 $40,698.09 2026-02-28
61886 CPT Implant Neurostim Arrays 28 9 — — $40,698.09 $40,698.09 $40,698.09 2026-02-28
33289 CPT Tcat Impl Wrls P-art Prs Snr 28 9 — — $37,966.60 $37,966.60 $37,966.60 2026-02-28
33240 CPT Insrt Pulse Gen W/singl Lead 28 9 — — $29,977.34 $29,977.34 $29,977.34 2026-02-28
33230 CPT Insrt Pulse Gen W/dual Leads 28 9 — — $29,977.34 $29,977.34 $29,977.34 2026-02-28
33262 CPT Rmvl Replc Pulse Gen 1 Lead 28 9 — — $29,977.34 $29,977.34 $29,977.34 2026-02-28
33263 CPT Rmvl Rplcmt Dfb Gen 2 Lead 28 9 — — $29,977.34 $29,977.34 $29,977.34 2026-02-28
64590 CPT Insrt/redo Pn/gastr Stimul 28 9 — — $28,639.41 $28,639.41 $28,639.41 2026-02-28
64580 CPT Implant Neuroelectrodes 28 9 — — $28,639.41 $28,639.41 $28,639.41 2026-02-28
61885 CPT Insrt/redo Neurostim 1 Array 28 9 — — $28,639.41 $28,639.41 $28,639.41 2026-02-28
63655 CPT Implant Neuroelectrodes 28 9 — — $28,639.41 $28,639.41 $28,639.41 2026-02-28
54410 CPT Remove/replace Penis Prosth 28 9 — — $26,882.09 $26,882.09 $26,882.09 2026-02-28
53447 CPT Remove/replace Ur Sphincter 28 9 — — $26,882.09 $26,882.09 $26,882.09 2026-02-28
54405 CPT Insert Multi-comp Penis Pros 28 9 — — $26,882.09 $26,882.09 $26,882.09 2026-02-28
53444 CPT Insert Tandem Cuff 28 9 — — $26,882.09 $26,882.09 $26,882.09 2026-02-28
54401 CPT Insert Self-contd Prosthesis 28 9 — — $26,882.09 $26,882.09 $26,882.09 2026-02-28
53445 CPT Insert Uro/ves Nck Sphincter 28 9 — — $26,882.09 $26,882.09 $26,882.09 2026-02-28
54411 CPT Remov/replc Penis Pros Comp 28 9 — — $26,882.09 $26,882.09 $26,882.09 2026-02-28
54416 CPT Remv/repl Penis Contain Pros 28 9 — — $26,882.09 $26,882.09 $26,882.09 2026-02-28
33229 CPT Remvreplc Pm Gen Mult Leads 28 9 — — $25,469.92 $25,469.92 $25,469.92 2026-02-28
33221 CPT Insert Pulse Gen Mult Leads 28 9 — — $25,469.92 $25,469.92 $25,469.92 2026-02-28
33274 CPT Tcat Insj/rpl Perm Ldls Pm 28 9 — — $25,469.92 $25,469.92 $25,469.92 2026-02-28
20696 CPT Comp Multiplane Ext Fixation 28 9 — — $24,560.28 $24,560.28 $24,560.28 2026-02-28
22856 CPT Cerv Artific Diskectomy 28 9 — — $24,560.28 $24,560.28 $24,560.28 2026-02-28
24371 CPT Revise Reconst Elbow Joint 28 9 — — $24,560.28 $24,560.28 $24,560.28 2026-02-28
22612 CPT Lumbar Spine Fusion 28 9 — — $24,560.28 $24,560.28 $24,560.28 2026-02-28
27279 CPT Arthrodesis Sacroiliac Joint 28 9 — — $24,560.28 $24,560.28 $24,560.28 2026-02-28
22633 CPT Lumbar Spine Fusion Combined 28 9 — — $24,560.28 $24,560.28 $24,560.28 2026-02-28
23616 CPT Treat Humerus Fracture 28 9 — — $24,560.28 $24,560.28 $24,560.28 2026-02-28
22630 CPT Lumbar Spine Fusion 28 9 — — $24,560.28 $24,560.28 $24,560.28 2026-02-28
23472 CPT Reconstruct Shoulder Joint 28 9 — — $24,560.28 $24,560.28 $24,560.28 2026-02-28
21243 CPT Reconstruction Of Jaw Joint 28 9 — — $24,560.28 $24,560.28 $24,560.28 2026-02-28
27702 CPT Reconstruct Ankle Joint 28 9 — — $24,560.28 $24,560.28 $24,560.28 2026-02-28
22867 CPT Insj Stablj Dev W/dcmprn 28 9 — — $24,560.28 $24,560.28 $24,560.28 2026-02-28
25442 CPT Reconstruct Wrist Joint 28 9 — — $24,560.28 $24,560.28 $24,560.28 2026-02-28
24363 CPT Replace Elbow Joint 28 9 — — $24,560.28 $24,560.28 $24,560.28 2026-02-28
28705 CPT Fusion Of Foot Bones 28 9 — — $24,560.28 $24,560.28 $24,560.28 2026-02-28
25446 CPT Wrist Replacement 28 9 — — $24,560.28 $24,560.28 $24,560.28 2026-02-28
24361 CPT Reconstruct Elbow Joint 28 9 — — $24,560.28 $24,560.28 $24,560.28 2026-02-28
37230 CPT Tib/per Revasc W/stent 28 9 — — $23,981.56 $23,981.56 $23,981.56 2026-02-28
37227 CPT Fem/popl Revasc Stnt Ather 28 9 — — $23,981.56 $23,981.56 $23,981.56 2026-02-28
37229 CPT Tib/per Revasc W/ather 28 9 — — $23,981.56 $23,981.56 $23,981.56 2026-02-28
37231 CPT Tib/per Revasc Stent Ather 28 9 — — $23,981.56 $23,981.56 $23,981.56 2026-02-28
37184 CPT Prim Art M-thrmbc 1st Vsl 28 9 — — $23,981.56 $23,981.56 $23,981.56 2026-02-28
36906 CPT Thrmbc/nfs Dialysis Circuit 28 9 — — $23,981.56 $23,981.56 $23,981.56 2026-02-28
37242 CPT Vasc Embolize/occlude Artery 28 9 — — $23,981.56 $23,981.56 $23,981.56 2026-02-28
37225 CPT Fem/popl Revas W/ather 28 9 — — $23,981.56 $23,981.56 $23,981.56 2026-02-28
62362 CPT Implant Spine Infusion Pump 28 9 — — $23,604.14 $23,604.14 $23,604.14 2026-02-28
62361 CPT Implant Spine Infusion Pump 28 9 — — $23,604.14 $23,604.14 $23,604.14 2026-02-28
62360 CPT Insert Spine Infusion Device 28 9 — — $23,604.14 $23,604.14 $23,604.14 2026-02-28
19357 CPT Breast Reconstruction 28 9 — — $23,235.84 $23,235.84 $23,235.84 2026-02-28
67027 CPT Implant Eye Drug System 28 9 — — $20,520.04 $20,520.04 $20,520.04 2026-02-28
65770 CPT Revise Cornea With Implant 28 9 — — $19,083.66 $19,083.66 $19,083.66 2026-02-28
6336911 CDM Amphet/dextroamp 10mg Tab 24 8 $32,678.00 $18,659.14 43% off $3,267.80 $26,142.40 $18,463.07 2026-02-28
54417 CPT Remv/replc Penis Pros Compl 28 9 — — $17,351.64 $17,351.64 $17,351.64 2026-02-28
53440 CPT Male Sling Procedure 28 9 — — $17,351.64 $17,351.64 $17,351.64 2026-02-28
54400 CPT Insert Semi-rigid Prosthesis 28 9 — — $17,351.64 $17,351.64 $17,351.64 2026-02-28
24430 CPT Repair Of Humerus 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
25810 CPT Fusion/graft Of Wrist Joint 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
25391 CPT Lengthen Radius Or Ulna 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
24515 CPT Treat Humerus Fracture 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
28735 CPT Fusion Of Foot Bones 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
25441 CPT Reconstruct Wrist Joint 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
24346 CPT Reconstruct Elbow Med Ligmnt 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
23473 CPT Revis Reconst Shoulder Joint 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
24410 CPT Revision Of Humerus 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
24366 CPT Reconstruct Head Of Radius 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
27429 CPT Reconstruction Knee 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
24666 CPT Treat Radius Fracture 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
20692 CPT Apply Bone Fixation Device 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
29867 CPT Allgrft Implnt Knee W/scope 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
27415 CPT Osteochondral Knee Allograft 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
69714 CPT Implant Temple Bone W/stimul 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
24587 CPT Treat Elbow Fracture 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
24370 CPT Revise Reconst Elbow Joint 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
24546 CPT Treat Humerus Fracture 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
23615 CPT Treat Humerus Fracture 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
27758 CPT Treatment Of Tibia Fracture 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
24586 CPT Treat Elbow Fracture 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
23680 CPT Treat Dislocation/fracture 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
22551 CPT Neck Spine Fuseremov Bel C2 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
23470 CPT Reconstruct Shoulder Joint 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
22869 CPT Insj Stablj Dev Without Dcmprn 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
20982 CPT Ablate Bone Tumor(s) Perq 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
25444 CPT Reconstruct Wrist Joint 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
27759 CPT Treatment Of Tibia Fracture 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
27447 CPT Total Knee Arthroplasty 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
27441 CPT Revision Of Knee Joint 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
27442 CPT Revision Of Knee Joint 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
27440 CPT Revision Of Knee Joint 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
29889 CPT Knee Arthroscopy/surgery 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
24545 CPT Treat Humerus Fracture 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
27438 CPT Revise Kneecap With Implant 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
24575 CPT Treat Humerus Fracture 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
27443 CPT Revision Of Knee Joint 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
24516 CPT Treat Humerus Fracture 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
22554 CPT Neck Spine Fusion 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
27446 CPT Revision Of Knee Joint 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
24579 CPT Treat Humerus Fracture 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
23491 CPT Reinforce Shoulder Bones 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
27428 CPT Reconstruction Knee 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
24435 CPT Repair Humerus With Graft 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
27356 CPT Remove Femur Lesion/graft 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
27130 CPT Total Hip Arthroplasty 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
24498 CPT Reinforce Humerus 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
24802 CPT Fusion/graft Of Elbow Joint 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
24362 CPT Reconstruct Elbow Joint 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
29856 CPT Tibial Arthroscopy/surgery 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
23802 CPT Fusion Of Shoulder Joint 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
27709 CPT Incision Of Tibia Fibula 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
25491 CPT Reinforce Ulna 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
23485 CPT Revision Of Collar Bone 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
28737 CPT Revision Of Foot Bones 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
28320 CPT Repair Of Foot Bones 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
24365 CPT Reconstruct Head Of Radius 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
28715 CPT Fusion Of Foot Bones 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
25365 CPT Revise Radius Ulna 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
27828 CPT Treat Lower Leg Fracture 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
28297 CPT Correction Hallux Valgus 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
28420 CPT Treat/graft Heel Fracture 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
28725 CPT Fusion Of Foot Bones 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
27870 CPT Fusion Of Ankle Joint Open 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
27827 CPT Treat Lower Leg Fracture 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
27871 CPT Fusion Of Tibiofibular Joint 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
29907 CPT Subtalar Arthro W/fusion 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
28730 CPT Fusion Of Foot Bones 28 9 — — $17,183.90 $17,183.90 $17,183.90 2026-02-28
64575 CPT Implant Neuroelectrodes 28 9 — — $16,654.35 $16,654.35 $16,654.35 2026-02-28
64569 CPT Revise/repl Vagus N Eltrd 28 9 — — $16,654.35 $16,654.35 $16,654.35 2026-02-28
64553 CPT Implant Neuroelectrodes 28 9 — — $16,654.35 $16,654.35 $16,654.35 2026-02-28
61888 CPT Revise/remove Neuroreceiver 28 9 — — $16,654.35 $16,654.35 $16,654.35 2026-02-28
63664 CPT Revise Spine Eltrd Plate 28 9 — — $16,654.35 $16,654.35 $16,654.35 2026-02-28
43647 CPT Lap Impl Electrode Antrum 28 9 — — $16,654.35 $16,654.35 $16,654.35 2026-02-28
61626 CPT Transcath Occlusion Non-cns 28 9 — — $15,145.56 $15,145.56 $15,145.56 2026-02-28
61623 CPT Endovasc Tempory Vessel Occl 28 9 — — $15,145.56 $15,145.56 $15,145.56 2026-02-28
37238 CPT Open/perq Place Stent Same 28 9 — — $15,145.56 $15,145.56 $15,145.56 2026-02-28
37226 CPT Fem/popl Revasc W/stent 28 9 — — $15,145.56 $15,145.56 $15,145.56 2026-02-28
37228 CPT Tib/per Revasc W/tla 28 9 — — $15,145.56 $15,145.56 $15,145.56 2026-02-28
37243 CPT Vasc Embolize/occlude Organ 28 9 — — $15,145.56 $15,145.56 $15,145.56 2026-02-28
37187 CPT Venous Mech Thrombectomy 28 9 — — $15,145.56 $15,145.56 $15,145.56 2026-02-28
37221 CPT Iliac Revasc W/stent 28 9 — — $15,145.56 $15,145.56 $15,145.56 2026-02-28
36903 CPT Intro Cath Dialysis Circuit 28 9 — — $15,145.56 $15,145.56 $15,145.56 2026-02-28
37236 CPT Open/perq Place Stent 1st 28 9 — — $15,145.56 $15,145.56 $15,145.56 2026-02-28
37241 CPT Vasc Embolize/occlude Venous 28 9 — — $15,145.56 $15,145.56 $15,145.56 2026-02-28
36905 CPT Thrmbc/nfs Dialysis Circuit 28 9 — — $15,145.56 $15,145.56 $15,145.56 2026-02-28
37244 CPT Vasc Embolize/occlude Bleed 28 9 — — $15,145.56 $15,145.56 $15,145.56 2026-02-28
33206 CPT Insert Heart Pm Atrial 28 9 — — $13,976.66 $13,976.66 $13,976.66 2026-02-28
33214 CPT Upgrade Of Pacemaker System 28 9 — — $13,976.66 $13,976.66 $13,976.66 2026-02-28
33228 CPT Remvreplc Pm Gen Dual Lead 28 9 — — $13,976.66 $13,976.66 $13,976.66 2026-02-28
33224 CPT Insert Pacing Lead Connect 28 9 — — $13,976.66 $13,976.66 $13,976.66 2026-02-28
33213 CPT Insert Pulse Gen Dual Leads 28 9 — — $13,976.66 $13,976.66 $13,976.66 2026-02-28
33208 CPT Insrt Heart Pm Atrial Vent 28 9 — — $13,976.66 $13,976.66 $13,976.66 2026-02-28
33207 CPT Insert Heart Pm Ventricular 28 9 — — $13,976.66 $13,976.66 $13,976.66 2026-02-28
58674 CPT Laps Abltj Uterine Fibroids 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
58571 CPT Tlh W/t/o 250 G Or Less 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
58553 CPT Laparo-vag Hyst Complex 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
58572 CPT Tlh Uterus Over 250 G 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
58543 CPT Lsh Uterus Above 250 G 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
58573 CPT Tlh W/t/o Uterus Over 250 G 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
58544 CPT Lsh W/t/o Uterus Above 250 G 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
57423 CPT Repair Paravag Defect Lap 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
57425 CPT Laparoscopy Surg Colpopexy 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
58673 CPT Laparoscopy Salpingostomy 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
58554 CPT Laparo-vag Hyst W/t/o Compl 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
50948 CPT Laparo New Ureter/bladder 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
55866 CPT Laparo Radical Prostatectomy 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
50593 CPT Perc Cryo Ablate Renal Tum 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
50542 CPT Laparo Ablate Renal Mass 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
50543 CPT Laparo Partial Nephrectomy 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
50544 CPT Laparoscopy Pyeloplasty 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
50541 CPT Laparo Ablate Renal Cyst 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
50947 CPT Laparo New Ureter/bladder 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
47554 CPT Biliary Endoscopy Thru Skin 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
47556 CPT Biliary Endoscopy Thru Skin 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
47383 CPT Perq Abltj Lvr Cryoablation 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
47564 CPT Laparo Cholecystectomy/explr 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
43284 CPT Laps Esophgl Sphnctr Agmntj 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
43282 CPT Lap Paraesoph Her Rpr W/mesh 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
43280 CPT Laparoscopy Fundoplasty 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
43210 CPT Egd Esophagogastrc Fndoplsty 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
43281 CPT Lap Paraesophag Hern Repair 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
43648 CPT Lap Revise/remv Eltrd Antrum 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
38571 CPT Laparoscopy Lymphadenectomy 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
38572 CPT Laparoscopy Lymphadenectomy 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
38120 CPT Laparoscopy Splenectomy 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
38573 CPT Laps Pelvic Lymphadec 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
43770 CPT Lap Place Gastr Adj Device 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
47370 CPT Laparo Ablate Liver Tumor Rf 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
47371 CPT Laparo Ablate Liver Cryosurg 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
32994 CPT Ablate Pulm Tumor Perq Crybl 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
32607 CPT Thoracoscopy W/bx Infiltrate 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
32608 CPT Thoracoscopy W/bx Nodule 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
32604 CPT Thoracoscopy Wbx Sac 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
58570 CPT Tlh Uterus 250 G Or Less 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
58541 CPT Lsh Uterus 250 G Or Less 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
58542 CPT Lsh W/t/o Ut 250 G Or Less 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
58546 CPT Laparo-myomectomy Complex 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
58552 CPT Laparo-vag Hyst Incl T/o 28 9 — — $13,904.39 $13,904.39 $13,904.39 2026-02-28
19342 CPT Delayed Breast Prosthesis 28 9 — — $12,779.66 $12,779.66 $12,779.66 2026-02-28
19325 CPT Breast Augmentation W/implt 28 9 — — $12,779.66 $12,779.66 $12,779.66 2026-02-28
19296 CPT Place Po Breast Cath For Rad 28 9 — — $12,779.66 $12,779.66 $12,779.66 2026-02-28
54316 CPT Reconstruction Of Urethra 28 9 — — $12,349.75 $12,349.75 $12,349.75 2026-02-28
54344 CPT Secondary Urethral Surgery 28 9 — — $12,349.75 $12,349.75 $12,349.75 2026-02-28
53449 CPT Repair Uro Sphincter 28 9 — — $12,349.75 $12,349.75 $12,349.75 2026-02-28
51860 CPT Repair Of Bladder Wound 28 9 — — $12,349.75 $12,349.75 $12,349.75 2026-02-28
54112 CPT Treat Penis Lesion Graft 28 9 — — $12,349.75 $12,349.75 $12,349.75 2026-02-28
50562 CPT Renal Scope W/tumor Resect 28 9 — — $12,349.75 $12,349.75 $12,349.75 2026-02-28
50557 CPT Kidney Endoscopy Treatment 28 9 — — $12,349.75 $12,349.75 $12,349.75 2026-02-28
50576 CPT Kidney Endoscopy Treatment 28 9 — — $12,349.75 $12,349.75 $12,349.75 2026-02-28
50081 CPT Removal Of Kidney Stone 28 9 — — $12,349.75 $12,349.75 $12,349.75 2026-02-28
50080 CPT Removal Of Kidney Stone 28 9 — — $12,349.75 $12,349.75 $12,349.75 2026-02-28
50555 CPT Kidney Endoscopy Biopsy 28 9 — — $12,349.75 $12,349.75 $12,349.75 2026-02-28
55873 CPT Cryoablate Prostate 28 9 — — $12,349.75 $12,349.75 $12,349.75 2026-02-28
55880 CPT Abltj Mal Prst8 Tiss Hifu 28 9 — — $12,349.75 $12,349.75 $12,349.75 2026-02-28
33285 CPT Insj Subq Car Rhythm Mntr 28 9 — — $11,052.74 $11,052.74 $11,052.74 2026-02-28
33233 CPT Removal Of Pm Generator 28 9 — — $11,052.74 $11,052.74 $11,052.74 2026-02-28
33217 CPT Insert 2 Electrode Pm-defib 28 9 — — $11,052.74 $11,052.74 $11,052.74 2026-02-28
33216 CPT Insert 1 Electrode Pm-defib 28 9 — — $11,052.74 $11,052.74 $11,052.74 2026-02-28
33211 CPT Insert Card Electrodes Dual 28 9 — — $11,052.74 $11,052.74 $11,052.74 2026-02-28
33212 CPT Insert Pulse Gen Sngl Lead 28 9 — — $11,052.74 $11,052.74 $11,052.74 2026-02-28
33210 CPT Insert Electrd/pm Cath Sngl 28 9 — — $11,052.74 $11,052.74 $11,052.74 2026-02-28
33227 CPT Removereplace Pm Gen Singl 28 9 — — $11,052.74 $11,052.74 $11,052.74 2026-02-28
33271 CPT Insj Subq Impltbl Dfb Elctrd 28 9 — — $11,052.74 $11,052.74 $11,052.74 2026-02-28
58920 CPT Partial Removal Of Ovary(s) 28 9 — — $9,875.92 $9,875.92 $9,875.92 2026-02-28
58290 CPT Vag Hyst Complex 28 9 — — $9,875.92 $9,875.92 $9,875.92 2026-02-28
57426 CPT Revise Prosth Vag Graft Lap 28 9 — — $9,875.92 $9,875.92 $9,875.92 2026-02-28
58292 CPT Vag Hyst T/o Repair Compl 28 9 — — $9,875.92 $9,875.92 $9,875.92 2026-02-28
57310 CPT Repair Urethrovaginal Lesion 28 9 — — $9,875.92 $9,875.92 $9,875.92 2026-02-28
57330 CPT Repair Bladder-vagina Lesion 28 9 — — $9,875.92 $9,875.92 $9,875.92 2026-02-28
57285 CPT Repair Paravag Defect Vag 28 9 — — $9,875.92 $9,875.92 $9,875.92 2026-02-28
57289 CPT Repair Bladder Vagina 28 9 — — $9,875.92 $9,875.92 $9,875.92 2026-02-28
57282 CPT Colpopexy Extraperitoneal 28 9 — — $9,875.92 $9,875.92 $9,875.92 2026-02-28
57283 CPT Colpopexy Intraperitoneal 28 9 — — $9,875.92 $9,875.92 $9,875.92 2026-02-28
25393 CPT Lengthen Radius Ulna 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
25400 CPT Repair Radius Or Ulna 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
25820 CPT Fusion Of Hand Bones 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
25825 CPT Fuse Hand Bones With Graft 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
25805 CPT Fusion/graft Of Wrist Joint 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
26555 CPT Positional Change Of Finger 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
26568 CPT Lengthen Metacarpal/finger 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
25337 CPT Reconstruct Ulna/radioulnar 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
24134 CPT Removal Of Arm Bone Lesion 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
25390 CPT Shorten Radius Or Ulna 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
25405 CPT Repair/graft Radius Or Ulna 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
24126 CPT Remove/graft Bone Lesion 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
24116 CPT Remove/graft Bone Lesion 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
25695 CPT Treat Wrist Dislocation 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
25392 CPT Shorten Radius Ulna 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
24345 CPT Repr Elbw Med Ligmnt W/tissu 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
25350 CPT Revision Of Radius 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
25800 CPT Fusion Of Wrist Joint 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
26820 CPT Thumb Fusion With Graft 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
25360 CPT Revision Of Ulna 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
25415 CPT Repair Radius Ulna 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
23146 CPT Removal Of Bone Lesion 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
24115 CPT Remove/graft Bone Lesion 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
25830 CPT Fusion Radioulnar Jnt/ulna 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
27726 CPT Repair Fibula Nonunion 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
27745 CPT Reinforce Tibia 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
27822 CPT Treatment Of Ankle Fracture 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
25170 CPT Resect Radius/ulnar Tumor 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
25263 CPT Repair Forearm Tendon/muscle 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
25315 CPT Revise Palsy Hand Tendon(s) 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
25136 CPT Remove Graft Wrist Lesion 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
25135 CPT Remove Graft Wrist Lesion 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
25676 CPT Treat Wrist Dislocation 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
23800 CPT Fusion Of Shoulder Joint 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
25316 CPT Revise Palsy Hand Tendon(s) 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
25035 CPT Treat Forearm Bone Lesion 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
26536 CPT Revise/implant Finger Joint 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
27720 CPT Repair Of Tibia 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
27722 CPT Repair/graft Of Tibia 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
24935 CPT Revision Of Amputation 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
25320 CPT Repair/revise Wrist Joint 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
25420 CPT Repair/graft Radius Ulna 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
24800 CPT Fusion Of Elbow Joint 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
25685 CPT Treat Wrist Fracture 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
26546 CPT Repair Nonunion Hand 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
21600 CPT Partial Removal Of Rib 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
24685 CPT Treat Ulnar Fracture 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
23107 CPT Explore Treat Shoulder Joint 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
23105 CPT Remove Shoulder Joint Lining 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
25670 CPT Treat Wrist Dislocation 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
25909 CPT Amputation Follow-up Surgery 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
26841 CPT Fusion Of Thumb 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
27756 CPT Treatment Of Tibia Fracture 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
27823 CPT Treatment Of Ankle Fracture 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
27695 CPT Repair Of Ankle Ligament 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
11970 CPT Replace Tissue Expander 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
27696 CPT Repair Of Ankle Ligaments 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
24342 CPT Repair Of Ruptured Tendon 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
24341 CPT Repair Arm Tendon/muscle 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
27691 CPT Revise Lower Leg Tendon 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
27698 CPT Repair Of Ankle Ligament 28 9 — — $9,540.59 $9,540.59 $9,540.59 2026-02-28
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